Integrated care delivery coordinates physical, behavioral, and social health--advancing comprehensive patient-centered care for the most complex populations. This event will explore how Medicaid, Medicare and Duals payers are taking a whole person approach to improving health outcomes, quality, and cost-effectiveness with care that meets the needs of high-risk, high-cost beneficiaries.

With the goal of providing seamless and continuous care throughout the healthcare journey, the event will look at the various care models, including value-based care, being used to support complex patients throughout the continuum. It will explore how leading payers are leveraging data to inform interventions and deliver targeted care to those who need it most, leveraging remote and home based care to facilitate the integration of care, embedding behavioral health into primary care settings, ensuring cultural competency in care delivery, and addressing SDoH as part of the care delivery framework.
Specifically, it will address these critical issues:

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    VALUE BASED CARE

  • Advancing Value Based Care: Accelerating Transition in Healthcare Delivery and Payment Methods via Risk Based Contracts
  • Implementing Alternative Payment Models to Support Integration—Aligning Incentives to Promote Integrated Care and to Support the Migration of Care Delivery Into Homes and on Digital Platforms
  • Providing Additional Funding for Care Models that Promote Equitable Access to Integrated Care

  • INTEGRATED CARE MODELS/CARE COORDINATION

  • Designing Integrated Collaborative Care Models to Decrease Care Costs, Enhance Quality of Care, Improve Member Engagement and Increase Access
  • Identifying Complex Patients’ Needs to Develop Patient-Centered Care Models for High- Cost, High-Need Beneficiaries
  • Developing a D-SNP Model of Care: Addressing the Barriers that the Dual Eligible Population Faces through Tailored Solutions within a Unified Framework
  • Leveraging Integrated Care Models to Optimize Transitions of Care in Post Acute Care
  • Advancing Integration Necessary for a Comprehensive Approach to Health Outcomes—Integrating Social, Behavioral, Physical, and Oral Care
  • Connecting Medical, Behavioral, and Pharmacy Data to Develop Integrated Care Plans: Leveraging Insights to Inform Specific Interventions and Targeted Programs to Deliver More Intuitive Care
  • Developing Multidisciplinary Care Models Including Innovative Community Partnerships and Virtual Care: Taking a Team-Based Approach
  • Shifting Toward Patient Empowerment: Providing Access to Health Data and Enabling Patients to Make Their Own Decisions
  • Developing Comprehensive, Equitable Maternal Health Models: Connecting Clinical, Behavioral, and Social Services During Pregnancy and Postpartum to Improve Maternal and Infant Health Outcomes

  • HOME BASED CARE/REMOTE CARE

  • Leveraging Digital Tools Such as Telehealth and Mobile Health Apps to Facilitate the Delivery of Integrated Care
  • Equipping Providers with Tools for Home-Based Diagnosis and Treatment: Leveraging Paraprofessionals Like Community Health Workers and Peer Support Specialists to Improve Outcomes and Access
  • Designing the Digital Front Door to Drive a Patient-Centric Experience: Leveraging Digitally Integrated Care to Engage at Every Major Touchpoint Throughout the Healthcare Journey
  • Building Integrated Care Networks to Provide the Best Possible Care for Patients with Chronic or Complex Conditions
  • Driving Interoperability to Ensure Providers Across the Continuum Have Access to Actionable Patient Data

  • BEHAVIORAL HEALTH

  • Identifying Opportunities to Embed Behavioral Health Into Health and Wellness Programs and Primary Care Settings
  • Integrating Behavioral Health with ACO’s—Embedding a Behavioral Health Consultant as Part of the Team Based Model
  • Leveraging Clinical Workflows that Streamline Behavioral Health Intake and Evaluation to Help Practices Screen Patients, Identify Diagnoses and Monitor for Outcomes

  • HEALTH EQUITY/SDOH

  • Ensuring Cultural Competency in Care Delivery Initiatives—Providing Culturally Aware Care through Hiring Diverse Care Providers and Using Data to Address Disparities
  • Ensuring a Greater Emphasis on SDoH: Working with Community Based Organizations to Add and Provide More Comprehensive Care
  • Analyzing SDoH Data as a Critical Tool for Enhancing Quality and Coordination of Care
  • Advancing Health Equity and Integrated Care for Rural Populations: Leveraging Actionable Solutions to Improve Access to Care


2024 Distinguished Speakers
Banner Health Plans

Sandra J. Stein, MD

Chief Medical Officer
Health Plan of San Mateo

Chris Esguerra, MD

Chief Medical Officer
ATRIO Health Plans

Jennifer Callahan

Chief Operating Officer
Independence Blue Cross

Seun Ross, DNP, MS, CRNP-F, NP-C

Executive Director, Health Equity
Sentara Health Plans

Chantel Neece DNP, MBA, APRN, FNP-BC, GERO-BC, CPHQ, SSBBP

Sr. Director- Maternal/Child Services & Member SDOH
Partners Health Plan and Care Design NY

Steven Merahn, MD

Medical Director
Adventist Health

Regina Berman, RN, MA

Value Based Care Executive
Ohio Department of Aging

Mina Chang, Ph.D.

Deputy Director and Chief Analytics & Compliance Division
CareFirst BlueCross BlueShield

Seiji Hayashi, MD, MPH, FAAFP

Interim Chief Medical Officer, Community Health Plan of DC
Lead Medical Director for Government Programs
Genesee Health Plan

Jim Milanowski

CEO
VNS Health

Alan Rice, LCSW

Population Health Specialist, Select Health SNP
Blue Cross and Blue Shield of North Carolina

Angela Lynn

Director, Care Management
Colorado Access

Elise Cooper

Director of Provider Services
Colorado Access

Sarrah Knause

Manager of Payment Reform
MVP Health Care

Simone Brooks, Executive MBA

Nonprofit Board Member and Health Care Leader & Consultant
Medical Mutual of Ohio

Nikki Hungate

Director, Medicare Product Solutions
Hope Network

Kasie Pickart, MPH

Behavioral Health Grants Project Director
Hope Network

Maggie Sweeney, LPC

Suicide Prevention Clinical Specialist
Who Should Attend:

Medicare Advantage, Medicaid, Dual Eligible Health Plans including HMOs, PPOs, ACOs, Provider Sponsored Plans, SNPS, and State Government Agencies


SVPs, VPs, and Senior Executives in charge of Government Programs including:

  • Chief Medical Officers
  • Medical Directors
  • Population Health
  • Care Management/Coordination
  • Health Services
  • Case Management
  • Government Programs
  • Health Equity/DEIB
  • Quality
  • Senior Products
  • Community Relations
  • Mental/Behavioral Health
  • Predictive Analytics, Risk Stratification, Data Analytics
  • Disease Management
  • Chronic Care
  • Value-based Care
  • Medical Management
  • Utilization Management
  • Operations
Join Decision Makers to exchange Ideas and Network:
Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Past Attendees Include:
Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.